US7309691B2 - Combined pharmaceutical preparation containing LHRH-analogous substances and anti estrogens for treating gynaecological disorders - Google Patents

Combined pharmaceutical preparation containing LHRH-analogous substances and anti estrogens for treating gynaecological disorders Download PDF

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Publication number
US7309691B2
US7309691B2 US09/117,357 US11735798A US7309691B2 US 7309691 B2 US7309691 B2 US 7309691B2 US 11735798 A US11735798 A US 11735798A US 7309691 B2 US7309691 B2 US 7309691B2
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US
United States
Prior art keywords
lhrh
patient
raloxifen
analogue
administration
Prior art date
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Expired - Fee Related, expires
Application number
US09/117,357
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English (en)
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US20010041672A1 (en
Inventor
Klaus Stöckemann
Peter Muhn
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Bayer Pharma AG
Original Assignee
Schering AG
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Assigned to SCHERING AKTIENGESELLSCHAFT reassignment SCHERING AKTIENGESELLSCHAFT ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: STOCKEMANN, KLAUS, MUHN, PETER
Priority to US09/925,419 priority Critical patent/US20020032156A1/en
Publication of US20010041672A1 publication Critical patent/US20010041672A1/en
Priority to US10/207,907 priority patent/US20020198155A1/en
Assigned to BAYER SCHERING PHARMA AKTIENGESELLSCHAFT reassignment BAYER SCHERING PHARMA AKTIENGESELLSCHAFT CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: SCHERING AKTIENGESELLSCHAFT
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Publication of US7309691B2 publication Critical patent/US7309691B2/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/04Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/08Peptides having 5 to 11 amino acids
    • A61K38/09Luteinising hormone-releasing hormone [LHRH], i.e. Gonadotropin-releasing hormone [GnRH]; Related peptides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P15/00Drugs for genital or sexual disorders; Contraceptives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Definitions

  • a unit dose contains different amounts of active ingredient depending in each case on the form of administration.
  • oral administration usually from 2 ⁇ g to 20 mg of LHRH analogue is administered per kg of body weight.
  • the administration may be in solid or liquid form.
  • the amounts of LHRH analogues are from 0.02 ⁇ g to 2.5 mg per kg of body weight.
  • parenteral administration there is preferably used an isotonic sodium chloride or dextrose solution that optionally is adjusted with a buffer to a pH value of from 5 to 9, preferably to the pH value of the blood.
  • Leuprorelin is preferably used orally at a dose of from 2 to 100 ⁇ g/kg of body weight (daily dose); one tablet contains preferably from 0.1 to 5.0 mg of Leuprorelin.
  • the dose for parenteral administration is preferably from 0.02 to 1.0 ⁇ g/kg of body weight.
  • Cetrorelix is used preferably in the form of a physiological saline with an amount of active ingredient of from 0.1 to 2.5 mg/kg of body weight.
  • DE 43 42 092 also slow-release formulations of Cetrorelix are described.
  • Buserelin is administered preferably in the following doses:
  • the implant contains from 1 to 6 mg of Cetrorelix.
  • Zoladex is preferably administered orally with a content of from 50 ⁇ g to 20 mg/kg of body weight and parenterally with a content of from 0.02 ⁇ g to 100 ⁇ g/kg of body weight or using a slow-release system (WO-A 93/24150).
  • Anti-oestrogenic substances are used inter alia in tumour therapy.
  • SERMs selective oestrogen-receptor modulators
  • Any antioestrogen having tissue-selective oestrogenic activity may be used in accordance with the invention.
  • Preferably used are those selected from the group Raloxifen, Droloxifen, Centchroman and derivatives thereof.
  • Anti-oestrogens of the Raloxifen type are especially preferred.
  • Raloxifen is 6-hydroxy-2-(4-hydroxyphenyl)-3-[4-(2-piperidinoethoxy)benzoyl]benzo [b] thiophene.
  • Raloxifen and its derivatives are used to increase bone mass.
  • EP 0635 270 discloses that raloxifene is described in U.S. Pat. No. 4,418,068 and that EP-A-584952 discloses that raloxifene is useful in the inhibition or preventing of bone loss.
  • the active ingredient content of the anti-oestrogen used in accordance with the invention is in the case of daily administration from 0.1 ⁇ g to 10 mg of antioestrogen per kg of body weight, depending on the form of administration.
  • the anti-oestrogens may be administered intravenously, subcutaneously, intramuscularly, orally, intranasally or intravaginally. Slow-release formulations are also possible, in which case the amount released daily lies also within the above-mentioned range.
  • the administration of the LHRH analogue and of the anti-oestrogen to the patient may be simultaneous and/or chronologically sequential.
  • Various treatment regimes are possible:
  • the LHRH analogue is first of all administered simultaneously with the tissue-selective anti-oestrogen over a particular period of time.
  • the information given in 1 applies in respect of period and frequency of administration (daily or at greater intervals). Treatment is then continued with the anti-oestrogen only.
  • the information given in 1 applies in respect of period and frequency of administration.
  • the pharmaceutical combined preparation according to the invention is suitable especially for long-term treatment of endometrioses and myomas and other steroid(sex)-hormone-dependent disorders, since on the one hand the side effects that normally occur with an LHRH analogue (agonist or antagonist) treatment are avoided and on the other hand lost bone mass is rebuilt (for example in the case of administration of the tissue-selective anti-oestrogen after completion of an LHRH analogue treatment). At the same time the growth inhibition of the endometriosis is maintained without the endometrium in the uterus being stimulated.
  • LHRH analogue agonist or antagonist
  • Variant 1 has proved especially preferred for long-term therapy.
  • the invention relates also to a packaging unit which, in the case of peptidergic LHRH analogues, comprises at least three components.
  • the unit contains two spatially separately packaged active ingredients, one of which is an LHRH analogue or a combination of LHRH analogues, and the other of which is an anti-oestrogen having tissue-selective oestrogenic activity.
  • the third component is an information leaflet for the simultaneous and/or chronologically sequential administration of the forms of administration.
  • the invention relates also to the use of an LHRH analogue or a combination of LHRH analogues and an anti-oestrogen having tissue-selective oestrogenic activity for the treatment of gynaecological disorders, especially for the treatment of endometrioses and myomas.
  • Fragments of endometrium were transplanted into different regions of the abdominal cavity of 60 animals.
  • the result to be recorded was a complete regression of the endometriosis without a significant reduction in bone mass. At the same time there were no oestrogenic effects on the uterus.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Medicinal Chemistry (AREA)
  • Animal Behavior & Ethology (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Endocrinology (AREA)
  • Reproductive Health (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Immunology (AREA)
  • Epidemiology (AREA)
  • Organic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines Containing Material From Animals Or Micro-Organisms (AREA)
US09/117,357 1996-01-29 1997-01-29 Combined pharmaceutical preparation containing LHRH-analogous substances and anti estrogens for treating gynaecological disorders Expired - Fee Related US7309691B2 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
US09/925,419 US20020032156A1 (en) 1996-01-29 2001-08-10 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders
US10/207,907 US20020198155A1 (en) 1996-01-29 2002-07-31 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
DE19604231A DE19604231A1 (de) 1996-01-29 1996-01-29 Pharmazeutisches Kombinationspräparat und seine Verwendung zur Behandlung von gynäkologischen Störungen
DE19604231.3 1996-01-29
PCT/EP1997/000395 WO1997027863A1 (de) 1996-01-29 1997-01-29 Pharmazeutisches kombinationspräparat aus lhrh-analoga und antiöstrogenen zur behandlung von gynäcologischen störungen

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
PCT/EP1997/000395 A-371-Of-International WO1997027863A1 (de) 1996-01-29 1997-01-29 Pharmazeutisches kombinationspräparat aus lhrh-analoga und antiöstrogenen zur behandlung von gynäcologischen störungen

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US65811300A Continuation 1996-01-29 2000-09-08
US10/207,907 Continuation US20020198155A1 (en) 1996-01-29 2002-07-31 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders

Publications (2)

Publication Number Publication Date
US20010041672A1 US20010041672A1 (en) 2001-11-15
US7309691B2 true US7309691B2 (en) 2007-12-18

Family

ID=7784640

Family Applications (3)

Application Number Title Priority Date Filing Date
US09/117,357 Expired - Fee Related US7309691B2 (en) 1996-01-29 1997-01-29 Combined pharmaceutical preparation containing LHRH-analogous substances and anti estrogens for treating gynaecological disorders
US09/925,419 Abandoned US20020032156A1 (en) 1996-01-29 2001-08-10 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders
US10/207,907 Abandoned US20020198155A1 (en) 1996-01-29 2002-07-31 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders

Family Applications After (2)

Application Number Title Priority Date Filing Date
US09/925,419 Abandoned US20020032156A1 (en) 1996-01-29 2001-08-10 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders
US10/207,907 Abandoned US20020198155A1 (en) 1996-01-29 2002-07-31 Pharmaceutical combined preparation and its use in the treatment of gynaecological disorders

Country Status (20)

Country Link
US (3) US7309691B2 (de)
EP (1) EP0877621A1 (de)
JP (1) JP2000505422A (de)
KR (1) KR19990082080A (de)
CN (1) CN1209750A (de)
BG (1) BG63248B1 (de)
BR (1) BR9707210A (de)
CZ (1) CZ239198A3 (de)
DE (1) DE19604231A1 (de)
EA (1) EA001178B1 (de)
HU (1) HUP9901288A3 (de)
IL (1) IL125557A0 (de)
MX (1) MX9806082A (de)
NO (1) NO983465L (de)
PL (1) PL328066A1 (de)
SK (1) SK98798A3 (de)
TR (1) TR199801452T2 (de)
TW (1) TW577735B (de)
WO (1) WO1997027863A1 (de)
ZA (1) ZA97741B (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11576891B2 (en) 2010-06-16 2023-02-14 Endorecherche, Inc. Methods of treating or preventing estrogen-related diseases

Families Citing this family (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6828415B2 (en) * 1993-02-19 2004-12-07 Zentaris Gmbh Oligopeptide lyophilisate, their preparation and use
US6096764A (en) * 1997-08-21 2000-08-01 Eli Lilly And Company Methods for inhibiting detrimental side-effects due to GnRH of GnRH agonist administration
CZ301912B6 (cs) 1998-04-23 2010-07-28 Zentaris Ivf Gmbh Lécivo na lécení neplodnosti nitrodeložní inseminací
HUP0202429A3 (en) * 1999-08-31 2004-04-28 Schering Ag Use of mesoprogestins (progesterone receptor modulators) for the preparation of pharmaceutical compositions for the treatment and prevention of benign hormone dependent gynecological disorders
US8193252B1 (en) 1999-08-31 2012-06-05 Bayer Pharma AG Mesoprogestins (progesterone receptor modulators) for the treatment and prevention of benign hormone dependent gynecological disorders
US7005418B1 (en) 1999-09-23 2006-02-28 Zentaris Gmbh Method for the therapeutic management of extrauterine proliferation of endometrial tissue, chronic pelvic pain and fallopian tube obstruction
PL201898B1 (pl) * 1999-09-23 2009-05-29 Zentaris Gmbh Zastosowanie antagonisty LH-RH w leczeniu endometriozy
EP1297850B1 (de) * 2000-07-05 2015-08-19 Takeda Pharmaceutical Company Limited Medizinische zusammensetzungen zur behandlung von mit sexualhormonen verbundenen erkrankungen
DE10050831A1 (de) 2000-10-05 2002-05-02 Veyx Pharma Gmbh Verfahren zum Zyklusstart bei weiblichen Zuchttieren
IL145838A (en) * 2000-10-16 2008-11-03 Pfizer Prod Inc Use of an estrogen agonist / antagonist to produce a drug for the treatment of vaginitis
WO2002056903A2 (en) * 2001-01-17 2002-07-25 Praecis Pharmaceuticals Inc. Methods for treating hormone associated conditions using a combination of lhrh antagonists and specific estrogen receptor modulators
DE60239207D1 (de) * 2001-08-10 2011-03-31 Takeda Pharmaceutical Gnrh-agonistische kombinationsmittel
WO2006098371A1 (ja) * 2005-03-16 2006-09-21 Masao Igarashi 子宮内膜症および子宮腺筋症の治療剤および予防剤
EP2266568A1 (de) 2009-05-26 2010-12-29 Æterna Zentaris GmbH Pharmazeutische Zubereitung enthaltend LHRH-Antagonisten und PDE V Hemmern zur Behandlung von Sexualhormon abhängigen Erkrankungen
EP2266567A1 (de) 2009-05-26 2010-12-29 Æterna Zentaris GmbH Pharmazeutische Zubereitung enthaltend Cetrorelix und PDE V Hemmern zur Behandlung von Sexualhormon abhängige Erkrankungen

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5395842A (en) * 1988-10-31 1995-03-07 Endorecherche Inc. Anti-estrogenic compounds and compositions
US5451590A (en) * 1993-12-21 1995-09-19 Eli Lilly & Co. Methods of inhibiting sexual precocity
US5457116A (en) * 1993-10-15 1995-10-10 Eli Lilly And Company Methods of inhibiting uterine fibrosis
US5593987A (en) * 1993-12-21 1997-01-14 Eli Lilly And Company Methods of inhibiting breast disorders
US5843962A (en) * 1993-12-21 1998-12-01 Eli Lilly And Company Methods of inhibiting ovarian dysgenesis, delayed puberty, or sexual infantilism
EP0897721A2 (de) 1997-08-21 1999-02-24 Eli Lilly And Company Benzo(b)thiophene Derivativen zur Hemmung von durch die Verrabreichung GnRH oder GnRH-Agonisten verursachten unheilvollen Nebenwirkungen

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5395842A (en) * 1988-10-31 1995-03-07 Endorecherche Inc. Anti-estrogenic compounds and compositions
US5457116A (en) * 1993-10-15 1995-10-10 Eli Lilly And Company Methods of inhibiting uterine fibrosis
US5451590A (en) * 1993-12-21 1995-09-19 Eli Lilly & Co. Methods of inhibiting sexual precocity
US5552417A (en) * 1993-12-21 1996-09-03 Eli Lilly And Company Methods of Inhibiting sexual precocity
US5593987A (en) * 1993-12-21 1997-01-14 Eli Lilly And Company Methods of inhibiting breast disorders
US5843962A (en) * 1993-12-21 1998-12-01 Eli Lilly And Company Methods of inhibiting ovarian dysgenesis, delayed puberty, or sexual infantilism
EP0897721A2 (de) 1997-08-21 1999-02-24 Eli Lilly And Company Benzo(b)thiophene Derivativen zur Hemmung von durch die Verrabreichung GnRH oder GnRH-Agonisten verursachten unheilvollen Nebenwirkungen
US6096764A (en) * 1997-08-21 2000-08-01 Eli Lilly And Company Methods for inhibiting detrimental side-effects due to GnRH of GnRH agonist administration

Non-Patent Citations (5)

* Cited by examiner, † Cited by third party
Title
Devogelaer JP et al., "LHRH analogues and bone loss", Lancet, Jun. 27, 1987; 1(8548): 1498. *
Goulding et al., Bone and Mineral, 18(2), 143-152 (1992). *
Monsonego et al., Am. J. Obstet Gynecol., 1991: 164: 1181-9. *
Robertson et al., Horm. Res. 1989: 32 (suppl 1):206-208. *
Walker et al., Eur. J. Cancer Clin. Oncol., vol. 25, No. 4, 651-654, 1989. *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11576891B2 (en) 2010-06-16 2023-02-14 Endorecherche, Inc. Methods of treating or preventing estrogen-related diseases

Also Published As

Publication number Publication date
HUP9901288A3 (en) 2000-03-28
US20010041672A1 (en) 2001-11-15
HUP9901288A2 (hu) 1999-08-30
NO983465L (no) 1998-09-18
PL328066A1 (en) 1999-01-04
CN1209750A (zh) 1999-03-03
US20020198155A1 (en) 2002-12-26
TR199801452T2 (xx) 1998-10-21
EP0877621A1 (de) 1998-11-18
BG63248B1 (bg) 2001-07-31
MX9806082A (es) 1998-10-31
BG102660A (en) 1999-06-30
WO1997027863A1 (de) 1997-08-07
KR19990082080A (ko) 1999-11-15
IL125557A0 (en) 1999-03-12
JP2000505422A (ja) 2000-05-09
CZ239198A3 (cs) 1998-11-11
SK98798A3 (en) 1999-03-12
NO983465D0 (no) 1998-07-28
TW577735B (en) 2004-03-01
DE19604231A1 (de) 1997-07-31
EA001178B1 (ru) 2000-10-30
ZA97741B (en) 1997-07-30
EA199800666A1 (ru) 1999-02-25
US20020032156A1 (en) 2002-03-14
BR9707210A (pt) 1999-04-06

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